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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 380506146
Report Date: 10/11/2019
Date Signed: 10/11/2019 11:46:12 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/18/2019 and conducted by Evaluator Luis Gomez
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20190718115455
FACILITY NAME:COMPANEROS DEL BARRIO, INC.FACILITY NUMBER:
380506146
ADMINISTRATOR:ALYSIA GONZALESFACILITY TYPE:
850
ADDRESS:474-478 VALENCIA STREETTELEPHONE:
(415) 431-9925
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94103
CAPACITY:44CENSUS: 22DATE:
10/11/2019
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Director, Christina GutierrezTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Child sustained an injury while under the care of staff
Staff accepted a child with obvious symptoms of illness
Staff was yelling in the presence of daycare child
Staff are failing to follow doctor orders
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Gomez and Interiano met with the Director, Christina Gutierrez, for complaint investigation of above allegation. Purpose of the inspection was explained. Present is Director and 5 staff supervising 22 preschool children. LPA inspected facility for health and safety hazards.

As part of this investigation, LPA's conducted inspections of the facility on 7/19/2019 and 9/20/19, and did an evaluation of the supervision of the children. A review of facility records was also completed which included a review of the facility schedule, children's records, and parent/family handbook, discipline policies and practices related to working with children. Also, as part of this complaint investigation, interviews were conducted with the Director, random sample of parents, children and staff.

Continue on 9099-C. . .
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8832
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 393-9134
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 05-CC-20190718115455
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: COMPANEROS DEL BARRIO, INC.
FACILITY NUMBER: 380506146
VISIT DATE: 10/11/2019
NARRATIVE
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Regarding the allegation of child sustained injury while in care. Based on interviews conducted and a review of facility files, LPAs are unable to determine if child sustained injury while in care. When a child receives an injury, first aid is immediately administered and Guardians are contacted and advised of the injury.

Regarding the allegation of staff accepting a child with obvious symptoms of illness. Based on interviews conducted on 7/19/ 2019 with director, staff and a review of facility files, LPAs are unable to determine if facility accepted a child who was injured. If a child is ill, Guardian is contacted for immediate pick-up.

Regarding the allegation of staff yelling in the presents of child. Based on interviews conducted director, and class observations of staff child interactions, LPAs cannot determine if staff was yelling in the presents of children.

Regarding the allegation of staff failing to follow doctors order. Based on interviews conducted with involved parties and a review of the facility files, LPAs are unable to determine if staff failed to follow orders. When medication is provided, the staff follow doctor's prescription and a log is maintained when medication is administered.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Copy of this report is reviewed and provided to the director. No deficiencies are cited. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8832
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 393-9134
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 4